How to Fill Out Form LG220A

Form LG220A at a glance

What it is: Minnesota Lawful Gambling LG220A Exempt Permit Financial Report.

Where and when to file: Email or mail to the Gambling Control Board within 30 days of the gambling activity date.

Who signs: The Current CEO signs: enter the Print Name of Current CEO, Phone, Signature of Current CEO, Date Signed and Email.

By state law, organizations that received an exempt permit (using the LG220 application form) are required to submit a financial report within 30 days of each gambling occasion (Minn. Statutes, section 349.166, subd. 2(a)(6)).

A filled-in Form LG220A example: a church group reports one raffle

Form LG220A example filled out, example: a church group reports one raffle
A church group files Form LG220A after one raffle. It took in 500 dollars in raffle receipts and spent 100 dollars on a purchased prize. The picture shows a filled report, and every value in it is made up. The Bingo, Paddlewheel, Tipboard and Pull-Tabs rows stay empty because only a raffle was held. Nothing goes in Distributor and Date of Purchase because no paddlewheels, bingo, tipboards or pull-tabs were conducted.

How to fill out Form LG220A, box by box

Organization Name, Activity Dates and Exempt Permit Number

Form LG220A example filled out, organization Name, Activity Dates and Exempt Permit Number

Enter the Organization Name, Mailing Address, City, State, Zip, Activity Dates and Exempt Permit Number.

Enter the name of premises where the gambling event occurred. For raffles, list the site where the drawing will take place.

Gross receipts, Expenses, Net profit and Total Value of Prizes for each activity

Form LG220A example filled out, gross receipts, Expenses, Net profit and Total Value of Prizes for each activity

On the row of each activity conducted, enter the Gross receipts, the Expenses, including cost of purchased and cash prizes, the Net profit (subtract expenses from gross receipts) and the Total Value of Prizes.

Distributor and Date of Purchase

Form LG220A example filled out, distributor and Date of Purchase

If paddlewheels, bingo, tipboards, or pull-tabs are conducted, list the licensed distributor from whom the gambling equipment was purchased and the Date of Purchase.

Signing as the Current CEO

Form LG220A example filled out, signing as the Current CEO

"I declare that all financial information is true, accurate, and complete."

The Current CEO signs: enter the Print Name of Current CEO, Phone, Signature of Current CEO, Date Signed and Email.

More rules for Form LG220A

Your organization must keep all exempt raffle records and reports for 3-1/2 years (Minn. Statutes, section 349.166, subd. 2(f)).

Questions? Contact the Licensing Specialist assigned to your county by calling 651-539-1900.

Common questions about Form LG220A

Is there a deadline?

Email or mail to the Gambling Control Board within 30 days of the gambling activity date.

Where do I file it?

Mail or email to the Minnesota Gambling Control Board, 1711 W County Road B, Suite 300 South, Roseville, MN 55113, EMAIL: gcb.financialreports@state.mn.us.

Sources

[1] Form LG220A, Exempt Permit Financial Report, Minnesota Gambling Control Board (the Official source link on this page).

Lg220A Form PDF Details

In the state of Minnesota, organizations that host lawful gambling events under an exempt permit need to navigate through a detailed financial reporting process, as outlined by the LG220A Exempt Permit Financial Report form. This necessity stems from the state law requirement for these organizations to submit a comprehensive financial report to the Gambling Control Board within 30 days following each gambling occasion, in accordance with Minnesota Statutes, section 349.166, subd. 2(a)(6). The LG220A form is designed to capture critical data ranging from the organization's information to detailed financial activities conducted during the event, including gross receipts and net profits, alongside a precise account of the expenses incurred. It also requires listing the total value of prizes, whether purchased, donated, or cash, and if applicable, information about gambling equipment distributors. Moreover, the form serves as a legal document that must be authenticated by the organization’s Chief Executive Officer, ensuring that all provided financial information is true, accurate, and complete. Organizations are mandated to retain records and reports related to the exempt raffle for a period of 3-1/2 years, safeguarding compliance with state regulations. The form, once filled and submitted, becomes public information and plays a pivotal role in determining an organization's adherence to laws and rules governing lawful gambling activities in Minnesota. This comprehensive approach underlines the state's commitment to ensuring transparency and accountability in gambling events, contributing to the responsible conduct of such activities within the community.

QuestionAnswer
Form NameLg220A Form
Form Length1 page
Fillable?Yes
Fillable fields36
Avg. time to fill out15 sec
Other namesceo, subd, roseville, lg220a exempt permit financial reporting form